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Tara McKeon

NPI 1134781909ActiveIndividual· Physical Therapist· Ridgefield, CT

Physical Therapist with James Fowler PT PC, practicing in Ridgefield, Connecticut. Enrolled in Medicare as practitioner - physical therapist in private practice.

Overview

NPI1134781909
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 2, 2019
Last updated in NPPESAug 7, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X12369CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (NY)

Medicare sources and data years

Education and affiliations

Graduation year2019
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

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